| NPI | 1144595331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN193447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010190) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11010190) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN193447) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN193447) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2024-03-27 |